TIFFANY KONSUM FONG
NPI 1023855756
Nurse Practitioner - Family in Sunnyvale, CA

Q: What is Tiffany Fong's NPI number?

The NPI number for Tiffany Fong is 1023855756. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Q: What is Tiffany Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Fong was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment

201 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086(408) 730-4262(408) 523-3224 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tiffany Konsum Fong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY KONSUM FONG (NPI 1023855756) is an individual family provider in Sunnyvale, California, licensed in California (95030911) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023855756

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY KONSUM FONG

Location Address201 OLD SAN FRANCISCO RDSunnyvale, CA 94086-6385

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(408) 730-4262

Fax(408) 523-3224

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 10, 2024

Last NPPES UpdateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1023855756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95030911

201 OLD SAN FRANCISCO RD, Sunnyvale, CA 94086

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Konsum Fong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779014204

PECOS Enrollment IDI20241008001359

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHUR BONHAM

Physician Assistant